Nursing Discussion – 2025 Post Response 1 Respond to one of your peers in your discussion group

Nursing Assignment Help

Nursing Discussion – 2025

Post/Response #1 Respond to one of your peers in your discussion group. Identify the additional workup that is needed to rule in or rule out these differential diagnoses. What clinical signs/symptoms would you expect to see with these two differential diagnoses?

Peer 1

Describe the pathophysiologic process of Anemia.
Identify two differential diagnoses and provide the pathophysiology of these two differential diagnoses.

Anemia is a reduction in the total circulating red cell mass or a decrease in the quality or quantity of hemoglobin. Anemia develops from the following: 

  • Blood loss (acute or chronic)
  • Impaired erythrocyte production 
  • Increased erythrocyte destruction 
  • A combination of these factors (McCance et al., 2019 p. 922).

Anemia develops because of an imbalance in erythrocyte loss relative to production; this can be due to ineffective or deficient erythropoiesis (Ex. nutritional deficiencies, inflammation, or genetic Hb disorders) and/or excessive loss of erythrocytes (due to hemolysis, blood loss, or both) (Chaparro & Suchdev, 2019). All factors cause negative outcomes for patients, anemia is the decrease of oxygen to major organs. Example: in iron deficiency anemia, decreased iron availability has well-established negative effects on brain development and functioning even prior to anemia development (Chaparro & Suchdev, 2019).

Differential Diagnosis:

  • Iron Deficiency Anemia: IDA is a hypochromic- microcytic anemia, most common type of anemia and can be caused by nutritional factors (McCance et al., 2019 p. 935). Anemia occurs when iron stores are depleted. With inadequate dietary intake or excessive blood loss, there is no intrinsic dysfunction in iron metabolism, both conditions deplete iron stores and reduce hemoglobin synthesis (McCance et al., 2019 p. 935). Iron in the form of hemoglobin is in constant demand by the body and is recycled, the body maintains a balance between iron that is contained in hemoglobin and iron that is in storage and available for future hemoglobin synthesis (McCance et al., 2019 p. 935). There are 2 stages of IDA:
    • Stage 1- the body’s iron stores are depleted, Erythropoiesis proceeds normally
    • Stage 2- Iron transportation to the bone marrow is diminished causing iron deficient erythropoiesis.
    • Stage 3- Small hemoglobin deficient cells enter the circulation to replace the normal aged erythrocytes that have been removed from the circulation (McCance et al., 2019 p. 935). There is depletion of iron stores and diminished hemoglobin production (McCance et al., 2019 p. 935).

Signs and symptoms include: Early symptoms are nonspecific and include fatigue, weakness, shortness of breath, and pale earlobes, palms, and conjunctivae. As the condition progresses and becomes more severe, structural and functional changes occur (McCance et al., 2019 p. 935).

  • Acute upper or lower GI bleed (peptic ulcer disease, use of NSAIDs, Crohn’s disease): Upper GI bleeding includes bleeding that started from the esophagus to the ligament of Treitz, at the duodenojejunal flexure. Lower GI bleeding means bleeding that started from a site distal to the ligament of Treitz (Kim et al., 2014). Long term bleeding without detection can lead to Iron deficiency anemia. IDA is a common problem in gastroenterology practices and is associated with lethargy, weakness, dyspnea, and a decreased quality of life (Grooteman, van Geenen, Kievit, & Drenth, 2017). Correction of underlying condition is needed, as well as iron supplements and blood transfusion to restore hemoglobin levels (Grooteman, van Geenen, Kievit, & Drenth, 2017).

Reference:

Chaparro, C., & Suchdev, P. (2019, August). Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Retrieved April 30, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697587/

Grooteman, K., Van Geenen, E., Kievit, W., & Drenth, J. (2017, November). Chronic anemia due to gastrointestinal bleeding: When do gastroenterologists transfuse? Retrieved May 01, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676546/

Kim, B., Li, B., Engel, A., Samra, J., Clarke, S., Norton, I., & Li, A. (2014, November 15). Diagnosis of gastrointestinal bleeding: A practical guide for clinicians. Retrieved May 01, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231512/

McCance, K. L., Huether, S. E., Brashers, V. L., & Rote, N. S. (2019). Cellular Biology . In Pathophysiology: the biologic basis for disease in adults and children (8th ed., p. 922, 935). essay, Elsevier. 

Turner, J. (2020, September 10). Anemia. Retrieved April 30, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK499994/

OPERATIONS – 2025 The resources needed to support operations and implement strategic initiatives often surpass those available What role does the board of

Nursing Assignment Help

OPERATIONS – 2025

 The resources needed to support operations and implement strategic initiatives often surpass those available. What role does the board of directors (or executive leadership, if there is no board) play in establishing organizational priorities? How do you know how to prioritize the wants and needs of all departments? How can an organization tackle ambitious plans while ensuring that operations stay on track?  PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE

Topic 3: Professional Development In Nursing – 2025 Discuss the correlation between nursing education and positive patient outcomes Include current research that

Nursing Assignment Help

Topic 3: Professional Development In Nursing – 2025

Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research.

  

Discuss the difference between a DNP and a PhD in nursing. Discuss which of these you would choose to pursue if you decide to continue your education to the doctoral level and explain why.

Week9 Discussion Reply 2 – 2025 As nurses we have a unique perspective on healthcare We are either the provider taking care of the patients in

Nursing Assignment Help

Week9 Discussion Reply 2 – 2025

 

As nurses, we have a unique perspective on healthcare. We are either the provider taking care of the patients in our facility, or we are on the other end of that spectrum as the patient. Having this knowledge allows us to provide valid information and data in regards to healthcare policy. Nurses should be involved in some fashion when it comes to policy and take an active role to advocate for the patients we care for. “The very foundation of professional nursing is rooted in the fundamental concern for the social, emotional, and physical needs of the poor and disadvantaged in society” (Williams, et. al., 2018, para. 2).

            There are several ways in which we can be more active in policy review. One way is to become more involved in local politics whether at the level of local government by becoming a member of city council or certain committees or taking on a leadership role in the facility in which we are employed (Brokaw, 2016).

            Another way to get involved at the state and federal level is to join a professional nursing organization. “These organizations often have lobbyists that bring nursing issues to Capitol Hill” (Brokaw, 2016, para. 6). If this is a bit overreaching given the level of involvement and other obligations, simply contacting  state representatives and voicing opinions on policies and providing evidence for or against the policy can at least bring attention to the issue at hand (Brokaw, 2016).

            There are many barriers to nurses’ involvement in policy review and politics in general. One very large barrier is lack of knowledge regarding the policy-making and review process. During my undergraduate degree, I did not have any classes that focused on policy. My community health class did not even touch on the subject. If more education were provided, perhaps the nursing voice might become a bit louder and real change might take place (Turale and Kunaviktikul, 2019).

            Another possible barrier to nurses in the world of policy and politics is the lack of support and time. With the current shortage of healthcare staff along with the stress levels and dissatisfaction in day-to-day nursing, we are lucky to make it through a 12-hour shift let alone find the time to get involved in activities outside of our main position (Turale and Kunaviktikul, 2019). Again, this comes down to education on the impact nurses and APRNs have on deciding what policies are crucial and need immediate attention, how to tailor these policies to fit the needs of all parties involved, and how to implement these policies.

Week9 Discussion Reply 1 – 2025 Nurses should be involved in the formulation implementation and review of healthcare policies Milstead Short 2019 Policy

Nursing Assignment Help

Week9 Discussion Reply 1 – 2025

 

Nurses should be involved in the formulation, implementation, and review of healthcare policies (Milstead & Short, 2019).  Policy review is the process of evaluating the efficiency and effectiveness of implemented healthcare policies (Laureate Education, 2018). Nurses can participate in policy review by using research and data to back up legislation on health policy issues. During policy review, reliable, evidence-based data can be gathered and reflected upon to improve research and for the implementation of better policy. The legislation can be presented with concrete proposal for policy enhancement. Nurses can only make this possible through active participation (Ellenbecker, et al, 2017).

How can nurses participate in policy review? Nurses can join committees at workplaces to focus on quality assurance and monitoring of patient outcomes. Current policies can be monitored to ensure that they are evidence-based, consistently implemented, and outcomes are effective. This is in line with the spirit of advocacy as outlined by the American nurses Association (American Nurses Association, n.d). Another way to participate in policy review is by becoming an active member of a professional nursing organization. Professional organizations help with data gathering and dissemination of evaluated data (ANA, n.d.). Nurses participate in policy review when they help with data and knowledge gathering towards a better policy and outcome evaluation. By joining a professional organization, the nurse will learn from other professional nurses on policy review and how to be active in policy review.

Challenges that can be encountered include lack of awareness/information on current procedures/policies. Lack of training on policy review, difficulty interacting with stakeholders, being unsure of how to go about change implementation, and uncertainty on the process of policy review are challenges that nurses might face in policy review (Glasgow et al, 2003). Also, the leadership of the nurses’ workplace might be resistant to change due to politics. This can make policy review to become politically cumbersome and somewhat impossible for the nurse/APRN’s participation.

To overcome the challenges, nursing curriculum should address the lapse by including leadership and policy implementation/review into their programs. Nurses should also change their views on politics by being politically active. Nurses often view politics as irrelevant and also feel indifferent about the process (Ellenbecker et al, 2017). Nursing education should include politics at all levels to help nurses in their role delivery. Nurses can also make the best use of policy review being frontline workers by providing feedbacks on healthcare interventions (Glasgow et al, 2003). This will guide the implementation of high-quality healthcare interventions and provide excellent outcomes for patients and nurses as healthcare roles are delivered.

Case Study Scenario# 4 – 2025 Practicum Case Scenario Study The following outlines general instructions for the case scenario Please

Nursing Assignment Help

Case Study Scenario# 4 – 2025

  Practicum Case Scenario/ Study The following outlines general instructions for the case scenario. Please remember not to include any HIPPA information. Concerns and questions related to care should be included. Include references to treatment plans using APA format.  Case studies are expected to be a minimum of 500 words, detailed and comprehensive.

Plagiarism receipt requires

Please follow the outline as below when submitting your case study:

Case Scenario/Study

Student Name:

Submission Date:

Case Study: (Acute Renal Failure)  

Patient Initials, Age, Gender

Subjective information from the patient (History of Present Illness/Symptoms)

Current Medications

Medical History – Medical Problems

Objective findings from physical examination

Vital Signs, Weight, Height, BMI

Focused examination findings based on diagnoses being addressed.

Assessment

ICD-10 Diagnosis (include ICD-10 code)

Nursing Diagnoses https://nurse.org/resources/nursing-diagnosis-guide/

Plan

Care Plan based on the diagnosis. (Use Nurses lab for care plan)

Include specific nursing care planning for patients to include.

Potential issues with achieving quality, comprehensive care.

Information on best practice care considerations.

Care outcomes from current treatment

Possible side effects of medications or treatments

Patient education planning/instructions

Care outcomes

Plans for the follow-up to review response to treatment.

References:

Mod4 Quiz – 2025 Please go to the following web address https adfs rasmussen edu adfs ls wa wsignin1 0 wtrealm urn 3aextranet 3aportal wctx https 3a 2f 2fportal rasmussen edu 2f layouts 2f15 2fAuthenticate aspx 3fSource 3d 252F wreply https 3a 2f 2fportal rasmussen edu 2f trust 2fdefault aspx Please sign in with

Nursing Assignment Help

Mod4 Quiz – 2025

 

Please go to the following web address:

https://adfs.rasmussen.edu/adfs/ls?wa=wsignin1.0&wtrealm=urn%3aextranet%3aportal&wctx=https%3a%2f%2fportal.rasmussen.edu%2f_layouts%2f15%2fAuthenticate.aspx%3fSource%3d%252F&wreply=https%3a%2f%2fportal.rasmussen.edu%2f_trust%2fdefault.aspx Please sign in with the following information:

Username: mikayla.schumacher@smail.rasmussen.edu

Password: Addie!0823

Click on M120/HSC1531 Section 02 Medical Terminology (5.5 Weeks) – Online Plus – 2021 Spring Quarter Term 1, then click on Module 04 – Lymphatic, Cardiovascular, and Respiratory Systems and then click on Module 04 Quiz, and complete the quiz. 

Assignment 05.1: Generalized Quality Problem – 2025 HA4300D Healthcare Management and Supervision Assignment 05 1 Generalized Quality Problem Directions Read The

Nursing Assignment Help

Assignment 05.1: Generalized Quality Problem – 2025

 HA4300D – Healthcare Management and Supervision

Assignment 05.1: Generalized Quality Problem

 

 

Directions

Read “The Generalized Quality Problem” Case Study in Chapter 32, pages 481-482.

In two pages, not counting the title page, respond to the following questions:

.Should you address this continuing problem with the group at large at your August meeting? Explain.

.Should you do some research aimed at identifying the more troublesome employees and address their quality problems at the August meeting? Explain.

.How would you mobilize your transcription group to address the quality problem and recommend solutions?

.Give an example of how the supervisor’s communication skills could help this department achieve its mission and increase productivity.

Umiker’s Management Skills for the New Health Care Supervisor–Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61

Patients Spiritual Needs – 2025 In addition to the topic study materials use the chart you completed and questions you answered

Nursing Assignment Help

Patients Spiritual Needs – 2025

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

PLEASE SEE ATTACHMENT AND USE ACCORDINGLY! 3 REFERENCES PLEASE AND PLAGIARISM REPORT A MUST

Leininger And Watson – 2025 Write a 1500 1750 word APA paper addressing each of the following points Be sure to completely answer

Nursing Assignment Help

Leininger And Watson – 2025

Write a 1500-1750 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources and the textbook using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

  • Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
  • Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
  • Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
  • Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

  • Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
  • How is love, as defined by Watson, evident in this caring moment?
  • How can the nurse creatively use self to create a healing environment?
  • Discuss the strengths and limits to Watson’s Theory.

Assignment Expectations:

Length: 1500 – 1750 words

Structure: Include a title page and reference page in APA format.